Efrain Talamantes1,2, Anthony Jerant3, Mark C Henderson4,2, Erin Griffin4, Tonya Fancher4,2, Douglas Grbic5, Gerardo Moreno6, Peter Franks3. 1. Center for a Diverse Healthcare Workforce, University of California, Davis School of Medicine, Sacramento, California etalamantes@ucdavis.edu. 2. Department of Medicine, Division of General Internal Medicine, University of California, Davis School of Medicine, Sacramento, California. 3. Department of Family and Community Medicine, University of California, Davis School of Medicine, Sacramento, California. 4. Center for a Diverse Healthcare Workforce, University of California, Davis School of Medicine, Sacramento, California. 5. Association of American Medical Colleges, Washington, DC. 6. Department of Family Medicine, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California.
Abstract
PURPOSE: Medical students who attend community college are more likely to express intention to train in family medicine. This study examined whether community college attendance is associated with family medicine residency training in a national sample of US medical school graduates. METHODS: We performed a cross-sectional analysis using the Association of American Medical Colleges matriculant files of residency trainees who graduated from medical school between 2010 to 2012. Residency specialty (family medicine vs other) was modeled using logistic regression analysis; the key independent variable was community college attendance, with categories of non-community college (reference); community college while in high school; community college after graduating from high school, then transfer to 4-year university; and community college after graduating from a 4-year university or as a postbaccalaureate. The logistic model adjusted for age, sex, race/ethnicity, years in medical school, parental education (a marker of socioeconomic status), and high school US region. RESULTS: Of the 43,382 medical school graduates studied, 25.9% attended community college and 8.7% trained in family medicine. In unadjusted analysis, graduates attending community college while in high school, after graduating from high school with transfer to 4-year university, or after graduating from a 4-year university or as a postbaccalaureate (12.0%, 12.7%, and 10.8%, respectively) were more likely to train in family medicine compared with their peers who did not attend community college (7.7%). Respective adjusted odds ratios were 1.47 (95% CI, 1.33-1.63; P <.001), 1.27 (95% CI, 1.06-1.52; P = .009), and 1.17 (95% CI, 1.06-2.29; P = .002). Among family medicine residents, 32.7% of those who were white, 35.2% of those Asian, 50.8% of those Latino, and 32.7% of those black or African American attended community college. CONCLUSIONS: US medical school graduates who attended community college were more likely to train in family medicine, suggesting community college is an important pathway for increasing the primary care workforce.
PURPOSE: Medical students who attend community college are more likely to express intention to train in family medicine. This study examined whether community college attendance is associated with family medicine residency training in a national sample of US medical school graduates. METHODS: We performed a cross-sectional analysis using the Association of American Medical Colleges matriculant files of residency trainees who graduated from medical school between 2010 to 2012. Residency specialty (family medicine vs other) was modeled using logistic regression analysis; the key independent variable was community college attendance, with categories of non-community college (reference); community college while in high school; community college after graduating from high school, then transfer to 4-year university; and community college after graduating from a 4-year university or as a postbaccalaureate. The logistic model adjusted for age, sex, race/ethnicity, years in medical school, parental education (a marker of socioeconomic status), and high school US region. RESULTS: Of the 43,382 medical school graduates studied, 25.9% attended community college and 8.7% trained in family medicine. In unadjusted analysis, graduates attending community college while in high school, after graduating from high school with transfer to 4-year university, or after graduating from a 4-year university or as a postbaccalaureate (12.0%, 12.7%, and 10.8%, respectively) were more likely to train in family medicine compared with their peers who did not attend community college (7.7%). Respective adjusted odds ratios were 1.47 (95% CI, 1.33-1.63; P <.001), 1.27 (95% CI, 1.06-1.52; P = .009), and 1.17 (95% CI, 1.06-2.29; P = .002). Among family medicine residents, 32.7% of those who were white, 35.2% of those Asian, 50.8% of those Latino, and 32.7% of those black or African American attended community college. CONCLUSIONS: US medical school graduates who attended community college were more likely to train in family medicine, suggesting community college is an important pathway for increasing the primary care workforce.
Authors: Stephen M Petterson; Winston R Liaw; Robert L Phillips; David L Rabin; David S Meyers; Andrew W Bazemore Journal: Ann Fam Med Date: 2012 Nov-Dec Impact factor: 5.166
Authors: Amelia Goodfellow; Jesus G Ulloa; Patrick T Dowling; Efrain Talamantes; Somil Chheda; Curtis Bone; Gerardo Moreno Journal: Acad Med Date: 2016-09 Impact factor: 6.893
Authors: Lisa M Meeks; Melissa Plegue; Bonnielin K Swenor; Christopher J Moreland; Sharad Jain; Christina J Grabowski; Marjorie Westervelt; Ben Case; William H Eidtson; Rahul Patwari; Nancy R Angoff; Jack LeConche; Bliss M Temple; Peter Poullos; Mijiza Sanchez-Guzman; Caitlyn Coates; Christine Low; Mark C Henderson; Joel Purkiss; Michael H Kim Journal: Acad Med Date: 2022-03-01 Impact factor: 7.840